Overview
The AP skull radiograph evaluates cranial vault symmetry and gross osseous lesions. The patient is positioned upright or supine with the detector centered to the skull. This view is used for initial assessment in trauma and suspected skull pathology.
Technique
Center the detector to include the entire skull and ensure the orbitomeatal line is perpendicular to the detector for standard AP projection. Use appropriate exposure and immobilize the head to reduce motion. Collimate to the skull to minimize dose.
Clinical Indications
AP skull is indicated for trauma suspected fracture and evaluation of lytic or sclerotic lesions. CT is preferred for detailed assessment of skull fractures and intracranial injury. Radiographs may be used when CT is unavailable.
Image Assessment
Inspect cranial vault for fractures lytic lesions and calcifications. Evaluate sutures and skull base when visible. Recommend CT for detailed evaluation of suspected intracranial or complex skull pathology.